Aurora Pediatric Dentistry, Prof. LLC
Dentist, Pediatric Dentistry in Aurora, CO. Organization (NPI-2).
NPI number1609875830
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609875830
- Entity type
- Organization (NPI-2)
- Legal business name
- Aurora Pediatric Dentistry, Prof. LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 6181 | CO | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 915 | WY |
Practice location
5657 S Himalaya StSte 200
Aurora, CO 80015-5307
Phone 720-886-0808 · Fax 720-886-0994
Mailing address
5657 S Himalaya StSte 200
Aurora, CO 80015-5307
Phone 720-886-0808 · Fax 720-886-0994
Authorized official
David Joel Hayutin
Manager
7208860808
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